scholarly journals Early school leaving: obstetrical and neonatal risks

Author(s):  
Marie Valerie Rajaonarivony ◽  
Tanoja A. Ratsiatosika ◽  
Romuald Randriamahavonjy ◽  
Lantonirina Rainibarijaona ◽  
Jean Eustache Fanomezantsoa ◽  
...  

Introduction: Maternal mortality remains very high in Madagascar. In addition, women's education level is low. The aim of this study is to determine the impact of the maternal educational level on the obstetrical and neonatal outcomes.Methods: This is a retrospective analytical study of primiparae with seven years of study or less to patients with more than seven years of study at Zafisaona Gabriel Mahajanga university hospital center.Results: Prematurity was higher in low-grade patients (RR=2.6 (1.04-6.51)), and low birth weight was the leading cause of neonatal morbidity (RR=3.52). Pregnancy screening, maternal morbimortality, caesarean section, neonatal death and fetal intrauterine death were identical between the two groups.Conclusions: Education has a positive impact on maternal health. An education on pregnancy outcomes should be done at school.

Author(s):  
Vian Mohammed Hassan ◽  
Abdul Reza Shafiq Al-Basri

Environmental policy represents one of the important administrative issues for organizations that seek to have a bright future. They are required to make great and real efforts to diagnose the environmental dimension, evaluate environmental efforts, and think about effective means, mechanisms and ways to protect the environment in the future and to correct past mistakes. The aim of this research is to show the impact that the environmental policy can play in achieving the requirements of sustainability. The research relied on the independent variable represented by the environmental policy, and the dependent variable 17 السياسة البيإية ودور ا ف تحقيق متطلبا االستدامة Millennium Journal of Humanities and Social Sciences 2(4): (2021) on sustainability and its requirements represented by (rationalization of resource consumption, reducing pollution, reducing the impact on human health, and using renewable energy). The descriptive analytical approach was adopted in the completion of this research, and it included answering the questions related to the research problem by testing two main hypotheses, with regard to correlation and influence relations. The General Battery Industry / Babel 1 Factory in Baghdad, and the statistical program (SPSS.V.23) was used to extract the results. This research reached a set of conclusions regarding environmental policy, the most prominent of which is that it has a continuous and effective positive impact that occurs due to internal and external environmental factors in achieving sustainability, which was represented by the validity of the two hypotheses of the research with the existence of a link and impact of environmental policy on sustainability. Keywords: Environment, environmental policy, sustainability


2017 ◽  
Vol 13 (11) ◽  
pp. 142
Author(s):  
Ebraheem Al Taha'at ◽  
Mohammad Abdel Mohsen Al-Afeef ◽  
Saqer Al Tahat ◽  
Muhannad Akram Ahmad

This study aims to show the importance of the economic value added as one of the most modern to measure the financial performance for firms, then to know the effect of the general prices level and earnings before interest and taxes on EVA in the companies listed in (ASE) (2006-2015), the researcher addresses a random sample consisting of (46) Company, and uses regression model, which connects the dependent and independent variables.The results of the study shows that There is a significant impact for the general prices level and the earnings before interest and taxes on the economic value added, and also shows that 22% of the changes in the economic value added are due to general prices level and earnings before interest and taxes, and 78% of the changes are due to other factors.This study also recommends the need to manage of operating expenses because of the positive impact of operating profit on EVA value, and to take inflation into account when calculating the value of EVA, and also searching for other factors that could affect the value of EVA such as sales volume, cost of capital, and the growth in the total assets of the company's financial leverage, etc…


2020 ◽  
Vol 11 (3) ◽  
pp. 2778-2789
Author(s):  
Sireen A. R. Shilbayeh ◽  
Abrar F. Al-Qarni ◽  
Malak M. Al-Turki ◽  
Meshael N. Al-Nuwisser ◽  
Ohud A. Al-Nuwaysir ◽  
...  

To assess the positive impact of pharmacist interventions via an educational video on patients’ knowledge of and satisfaction with warfarin therapy . This study used a prospective pre-test/post-test design that enrolled 91 patients from an anticoagulant clinic at King Khaled University Hospital in Riyadh, Saudi Arabia. All patients completed the Anticoagulation Knowledge Assessment (AKA) and Anti-Clot Treatment Satisfaction (ACTS) scales. Afterwards, the patients watched a 10-minute educational video containing basic information about warfarin and were given relevant informative booklets. The patients were reassessed after a mean follow-up period of approximately 52 days. In total, 85 patients completed the study. The impact of the intervention on patient knowledge was highly significant (mean difference=17.7%, 95% CI = 21.75-13.58, P.


Vestnik NSUEM ◽  
2019 ◽  
pp. 204-211
Author(s):  
O. A. Adedokun ◽  
I. V. Karzanova

This paper examines the impact of internal and international migration on the economy of Nigeria. In Nigeria the unemployment rate is very high, and migration can partially alleviate situation on the labor market. Migrants’ remittances which has surpassed both Foreign Direct Investment and Net Official Development Assistance inflows and is one of the major inflows of foreign earnings to Nigeria, help reducing poverty of households and have a positive impact on the economy. If political and socioeconomic issues in the country do not improve, Nigerians will continue to migrate to other countries. The Nigerian government should urgently address the situation with migration, contribute to job creation and improve environment to stop people from migrating and encourage its skilled labor abroad to return home to help in national development.


2019 ◽  
Vol 6 (9) ◽  
Author(s):  
Yvon Ruch ◽  
Jean-Philippe Mazzucotelli ◽  
François Lefebvre ◽  
Aurélie Martin ◽  
Nicolas Lefebvre ◽  
...  

Abstract Background Infective endocarditis (IE) remains a severe disease with a high mortality rate. Therefore, guidelines encourage the setup of a multidisciplinary group in reference centers. The present study evaluated the impact of this “Endocarditis Team” (ET). Methods We conducted a monocentric observational study at Strasbourg University Hospital, Strasbourg, France, between 2012 and 2017. The primary end point was in-hospital mortality. Secondary end points were 6-month and 1-year mortality, surgery rate, time to surgical procedure, duration of effective antibiotic therapy, length of in-hospital stay, and sequelae. We also assessed predictors of in-hospital mortality. Results We analyzed 391 episodes of IE. In the post-ET period, there was a nonsignificant decrease in in-hospital mortality (20.3% vs 14.7%, respectively; P = .27) and sequelae, along with a significant reduction in time to surgery (16.4 vs 10.3 days, respectively; P = .049), duration of antibiotic therapy (55.2 vs 47.2 days, respectively; P < .001), and length of in-hospital stay (40.6 vs 31.9 days, respectively; P < .01). In a multivariate analysis, the post-ET period was positively associated with survival (odds ratio, 0.45; 95% confidence interval, 0.20–0.96; P = .048). Conclusions This multidisciplinary approach exerted a positive impact on the management of IE and should be considered in all hospitals managing IE.


2006 ◽  
Vol 104 (5) ◽  
pp. 713-719 ◽  
Author(s):  
Panayiotis N. Varelas ◽  
Dan Eastwood ◽  
Hyun J. Yun ◽  
Marianna V. Spanaki ◽  
Lotfi Hacein Bey ◽  
...  

Object The aim of this study was to evaluate the impact of a newly appointed neurointensivist on outcomes in head-injured patients in the neurological/neurosurgical intensive care unit (NICU). Methods The mortality rate, length of stay (LOS), and discharge disposition of all patients with head trauma who had been admitted to a 10-bed tertiary care university hospital NICU were compared between two 19-month periods, before and after the appointment of a neurointensivist. Data regarding these patients were collected using the hospital database and the University HealthSystem Consortium (UHC) database. Samples of medical records were reviewed for Glasgow Coma Scale (GCS) score documentation. The authors analyzed data pertaining to 328 patients before and 264 after the neurointensivist's appointment. The unadjusted mean in-hospital mortality rate increased 1.1% in the after period, but this increase was significantly lower compared with the UHC-based expected increase of 8.1% in the mortality rate during the same period (p < 0.0001). The unadjusted mean mortality rate in the NICU decreased from 13.4 to 12.9% (relative mortality rate reduction 4%) and the mean NICU LOS increased from 3.1 to 3.6 days (relative NICU LOS increase 16%), both nonsignificantly. A 51% reduction in the NICU-associated mortality rate (p = 0.01), a 12% shorter hospital LOS (p = 0.026), and 57% greater odds of being discharged to home or to rehabilitation (p = 0.009) were found in the after period in multivariate models after controlling for baseline differences between the two time periods. Better documentation of the GCS score by the NICU team was also found in the after period (from 60.4 to 82%, p = 0.02). Conclusions The institution of a neurointensivist-led team model had an independent, positive impact on patient outcomes, including a lower NICU-associated mortality rate and hospital LOS, improved disposition, and better chart documentation.


2020 ◽  
Vol 3 (1) ◽  
pp. 113-127
Author(s):  
K. S. Rekh Raj Jain

The tail-end of the criminal justice system is the prison. In the era of mass incarceration a question arises how can a prisoner be restored to live a successful life after incarceration? The architecture of restoration of prisoners to begin the movement the prisoner placed under the authority of prison officials. Restoration is not a soft option, as many prisoners find it extremely difficult to face up to the impact of their crimes. The entire prison environment and the stakeholders of the prison department shall be involved in the restorative process. Restoration is the shift from retribution and vengeance to a more human approach. Hence restorative processes shall focus on physical, behavioral, emotional and restoration of dignity. The transition from prison to re-integration into the society after being incarcerated for number of years is the most difficult task for the prisoner. Therefore perseverance of restoration in prisons shall be a continuous process which would be a great investment to everyone. Research and studies across the world reveals that the scale of victimization among the prisons is very high and at time most devasting and India is not an exception. Adoption of restorative restoration approaches and practices in prison setting will not only successfully navigate reentry both into the family and society but also a realistic future and an effectiveness and positive impact outside the prison world. If prison officials want to reduce recidivism it is vital that they ensure effective and humane restoration of prisoners. This paper takes the stock of the current context and aims to bring greater clarity pertinent to the thematic area of concerns regarding effective and humane restoration of prisoners with special reference to India.


2021 ◽  
Vol 6 (41) ◽  
pp. 76-91
Author(s):  
Saifulazry Mokhtar ◽  
Nurulsyikin Muda ◽  
Irma Wani Othman ◽  
Mohd Sohaimi Esa

Language engineering in grammar is very high in value. Sometimes the language that is written in the bytes of the grammar refers to its expressed and implied meanings. The processing of meaning and meaning of the language depends on the understanding of the author of the narration and the appreciation by the listener. Language in grammar has a moral value that is useful for the audience of readers as well as driving towards the application of da'wah value in life. Thus, this study aims to see the moral value in the "Ke Makam Bonda" in terms of language, value, and structure through relevance theory. In addition, the reviewer also saw the relationship between language, value, and structure in the bytes of the narration is associated with the elements of da'wah until it generates awareness to the listener. The results of the study found that the use of language, value application, and systematic structure arrangement especially implemented the rhyme to the genre of traditional nasyid song adds to the listener's appreciation of the message delivered. The impact of the adaptation has had a positive impact on the community so that it becomes a calm rhythm heard and leaves a very useful advisory effect and da'wah message. This clearly indicates that the permeation of the language style in Usman Awang's slang was very suitable to the society's appreciation until now until it was successfully translated by anyone.


2021 ◽  
Vol 9 (2) ◽  
pp. 257
Author(s):  
Evi Sugiana Purnamasari ◽  
Muhammad Choirul Kamal

<p class="Els-keywords">This paper aims to determine the impact and learning outcomes of Mathematics Class IX students of SMP Negeri 6 Pekalongan in the 2020/2021 academic year on distance learning using Google Suite for Education (GSE). This paper is a best practice carried out in January-February in the even semester of the 2020/2021 school year. The object of this best practice is 32 students of class IXF at SMP Negeri 6 Pekalongan who were selected randomly (random sampling). The method used is descriptive qualitative research method. Data collection techniques in this study were interviews, observation and documentation. The best practice results show that the use of Google Suite for Education (GSE) can have a positive impact on the mathematics learning process and improve mathematics learning outcomes for class IXF students of SMP Negeri 6 Pekalongan for the 2020/2021 school year. The positive impact is seen from students' activities being more closely monitored and students being active during the learning process and the results of student activity indicators exceeding the target of 70%. The results of learning mathematics are also good, it can be seen from the results of the daily assessment of 32 students, many students who do not complete only 2 people, classical completeness is 94% and the average value is 92. So the completeness value is very high and the average value is also very high.</p>


VASA ◽  
2019 ◽  
Vol 48 (3) ◽  
pp. 262-269 ◽  
Author(s):  
Christian-Alexander Behrendt ◽  
Tilo Kölbel ◽  
Thea Schwaneberg ◽  
Holger Diener ◽  
Ralf Hohnhold ◽  
...  

Abstract. Background: Worldwide prevalence of peripheral artery disease (PAD) is increasing and peripheral vascular intervention (PVI) has become the primary invasive treatment. There is evidence that multidisciplinary team decision-making (MTD) has an impact on in-hospital outcomes. This study aims to depict practice patterns and time changes regarding MTD of different medical specialties. Methods: This is a retrospective cross-sectional study design. 20,748 invasive, percutaneous PVI of PAD conducted in the metropolitan area of Hamburg (Germany) were consecutively collected between January 2004 and December 2014. Results: MTD prior to PVI was associated with lower odds of early unsuccessful termination of the procedures (Odds Ratio 0.662, p < 0.001). The proportion of MTD decreased over the study period (30.9 % until 2009 vs. 16.6 % from 2010, p < 0.001) while rates of critical limb-threatening ischemia (34.5 % vs. 42.1 %), patients´ age (70 vs. 72 years), PVI below-the-knee (BTK) (13.2 % vs. 22.4 %), and rates of severe TASC C/D lesions BTK (43.2 % vs. 54.2 %) increased (all p < 0.001). Utilization of MTD was different between medical specialties with lowest frequency in procedures performed by internists when compared to other medical specialties (7.1 % vs. 25.7 %, p < 0.001). Conclusions: MTD prior to PVI is associated with technical success of the procedure. Nonetheless, rates of MTD prior to PVI are decreasing during the study period. Future studies should address the impact of multidisciplinary vascular teams on long-term outcomes.


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